Setting research priorities for adolescent sexual and reproductive health in low- and middle-income countries

Hindin, Michelle J.; Christiansen, Charlotte; Ferguson, B. Jane

doi:10.2471/blt.12.107565

Cited by 78 publications

(93 citation statements)

References 16 publications

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“…There have been other efforts to gauge evidence needs and priorities on similar topics (Institute for Reproductive Health (2016) and a research priorities exercise by Hindin, Christiansen and Ferguson (2013). Our stakeholder survey is designed to help prioritise evidence gaps in the EGM, specifically to provide recommendations for investment in new impact evaluations and syntheses.…”

Section: Stakeholder Survey On Evidence Needsmentioning

confidence: 99%

Adolescent sexual and reproductive health: scoping the impact of programming in low- and middle-income countries

Rankin¹,

Heard²,

Diaz³

2017

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The International Initiative for Impact Evaluation (3ie) is an international grant-making nongovernmental organisation promoting evidence-informed development policies and programmes. We are the global leader in funding and producing high-quality evidence of what works, for whom, why and at what cost. We believe that better and policy-relevant evidence will help make development more effective and improve people's lives. 3ie scoping papers 3ie develops its thematic grant programmes in a particular development area or sector through an organised scoping process. This multifaceted exercise helps ensure that new windows address priorities for evidence production where evidence is limited and gaps have been identified. 3ie scopes the demand for evidence through consultation with potential users, including policymakers, programme managers, researchers and civil society. Scoping exercises usually include producing an evidence map of interventions and outcomes of included studies and reviews. This aids identification of where more or better evidence is needed and where evidence is sufficient for producing systematic reviews. Other scoping can include reviewing existing programming and funding. The results include priority questions for which there is demand for answers. Scoping papers consolidate this information into a justification for what a thematic grant programme will address. About this paper3ie conducted scoping work on adolescent sexual and reproductive health to assess evidence on the effectiveness of related programmes in low-and middle-income countries, and to identify priorities for funding new 3ie impact evaluations and systematic reviews in this area. An evidence gap map is reported in this paper, and is also available in the 3ie Evidence Gap Map Report series, Adolescent sexual and reproductive health: an evidence gap map. An interactive version of the map is available on the 3ie website. The William and Flora Hewlett Foundation provided funding for this scoping project.All of the content is the sole responsibility of the authors and does not represent the opinions of 3ie, its donors or its Board of Commissioners. Any errors and omissions are also the sole responsibility of the authors. Any comments or queries should be directed to the corresponding author, Kristen Rankin, at krankin@3ieimpact.org. AcknowledgementsWe are extremely grateful to James Jarvis-Thiébault, Nadine Pfeifer, Mark Englebert, Julie Perng and Ashley Holst for their research assistance. We could not have done this work without the support and leadership of Annette N Brown and further technical support and review comments from Beryl Leach. We appreciate Edoardo Masset's helpful review comments on the evidence gap map. 3ie developed the evidence gap map with guidance and input from an advisory group, who also reviewed this draft. We are very thankful to its members, listed below. Additionally, 3ie would like to thank the wide range of stakeholders who participated in consultative workshops and a roundtable. A complete list of particip...

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Section: Stakeholder Survey On Evidence Needsmentioning

confidence: 99%

Adolescent sexual and reproductive health: scoping the impact of programming in low- and middle-income countries

Rankin¹,

Heard²,

Diaz³

2017

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“…In turn, SRH stigma may pose barriers to and ultimately prevent the use of family planning, subsequently leading to high rates of unintended pregnancy, unsafe abortion, and maternal mortality among young women in Africa and elsewhere (Hall, Manu, et al, 2015; Hindin, Christiansen, & Ferguson, 2013; Singh, Sedgh, & Hussain, 2010; United Nations Population Fund, 2007; World Health Organization, 2004). Recent findings from our qualitative study of 63 adolescents and young adults in Ghana support these hypotheses (Hall, Manu, et al, 2015).…”

mentioning

confidence: 99%

Development and Validation of a Scale to Measure Adolescent Sexual and Reproductive Health Stigma: Results From Young Women in Ghana

Hall

Manu

Morhe

et al. 2017

The Journal of Sex Research

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Young women’s experiences with sexual and reproductive health (SRH) stigma may contribute to unintended pregnancy. Thus, stigma interventions and rigorous measures to assess their impact are needed. Based on formative work, we generated a pool of 51 items on perceived stigma around different dimensions of adolescent SRH and family planning (sex, contraception, pregnancy, child-bearing, abortion). We tested items in a survey study of 1,080 women ages 15 to 24 recruited from schools, health facilities, and universities in Ghana. Confirmatory factor analysis (CFA) identified the most conceptually and statistically relevant scale, and multivariable regression established construct validity via associations between stigma and contraceptive use. CFA provided strong support for our hypothesized Adolescent SRH Stigma Scale (chi-square p value < 0.001; root mean square error of approximation [RMSEA] = 0.07; standardized root mean square residual [SRMR] = 0.06). The final 20-item scale included three subscales: internalized stigma (six items), enacted stigma (seven items), and stigmatizing lay attitudes (seven items). The scale demonstrated good internal consistency (α = 0.74) and strong subscale correlations (α = 0.82 to 0.93). Higher SRH stigma scores were inversely associated with ever having used modern contraception (adjusted odds ratio [AOR] = 0.96, confidence interval [CI] = 0.94 to 0.99, p value = 0.006). A valid, reliable instrument for assessing SRH stigma and its impact on family planning, the Adolescent SRH Stigma Scale can inform and evaluate interventions to reduce/manage stigma and foster resilience among young women in Africa and beyond.

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“…Figure 1 shows how the steering committee identified relevant research questions from existing Child Health and Nutrition Research Initiative studies. [11][12][13][14][15][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] The final list from the literature contained 45 research questions. Thirtyeight experts were then formally invited by email to participate.…”

Section: Resultsmentioning

confidence: 99%

“…10 It has now been applied to a wide range of relevant MNCAH topics, including, but not limited to, birth asphyxia, childhood pneumonia and diarrhea, and adolescent sexual and reproductive health. [11][12][13][14] The method involves 5 stages: (i) defining the context and criteria for priority-setting with input from investors and policy-makers; (ii) listing and scoring research investment options by technical experts using the proposed criteria; (iii) weighting the criteria according to wider societal values with input from other stakeholders; (iv) calculating research priority scores and average expert agreement scores; and (v) ranking research priorities according to research priority scores. An initial stage was added to the present study, in which the steering committee extracted implementationfocused research priorities from the existing Child Health and Nutrition Research Initiative literature before inviting input from technical experts.…”

Section: Methodsmentioning

confidence: 99%

Setting an implementation research agenda for Canadian investments in global maternal, newborn, child and adolescent health: a research prioritization exercise

et al. 2017

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Background: Improving global maternal, newborn, child and adolescent health (MNCAH) is a top development priority in Canada, as shown by the $6.35 billion in pledges toward the Muskoka Initiative since 2010. To guide Canadian research investments, we aimed to systematically identify a set of implementation research priorities for MNCAH in low-and middle-income countries. Methods:We adapted the Child Health and Nutrition Research Initiative method. We scanned the Child Health and Nutrition Research Initiative literature and extracted research questions pertaining to delivery of interventions, inviting Canadian experts on MNCAH to generate additional questions. The experts scored a combined list of 97 questions against 5 criteria: answerability, feasibility, deliverability, impact and effect on equity. These questions were ranked using a research priority score, and the average expert agreement score was calculated for each question. Results:The overall research priority score ranged from 40.14 to 89.25, with a median of 71.84. The average expert agreement scores ranged from 0.51 to 0.82, with a median of 0.64. Highly-ranked research questions varied across the life course and focused on improving detection and care-seeking for childhood illnesses, overcoming barriers to intervention uptake and delivery, effectively implementing human resources and mobile technology, and increasing coverage among at-risk populations. Children were the most represented target population and most questions pertained to interventions delivered at the household or community level.Interpretation: Investing in implementation research is critical to achieving the Sustainable Development Goal of ensuring health and well-being for all. The proposed research agenda is expected to drive action and Canadian research investments to improve MNCAH. Abstract ResearchResearch CMAJ OPEN CMAJ OPEN, 5(1) E83

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Setting research priorities for adolescent sexual and reproductive health in low- and middle-income countries

Cited by 78 publications

References 16 publications

Adolescent sexual and reproductive health: scoping the impact of programming in low- and middle-income countries

Adolescent sexual and reproductive health: scoping the impact of programming in low- and middle-income countries

Development and Validation of a Scale to Measure Adolescent Sexual and Reproductive Health Stigma: Results From Young Women in Ghana

Setting an implementation research agenda for Canadian investments in global maternal, newborn, child and adolescent health: a research prioritization exercise

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